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https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129
Oct 11, 2019 · Previous Next 1 of 6 Vaginal area. Vaginal tears during childbirth, also called perineal lacerations or tears, occur when the baby's head is coming through the vaginal opening and is either too large for the vagina to stretch around or the head is a normal size but the vagina doesn't stretch easily.
https://www.healthline.com/health/pregnancy/treatment-vaginal-cervical-lacerations
mothers who had a long delivery; ... A third-degree laceration is a tear that extends through vaginal tissue, perineal skin, and perineal muscles that extend into the muscles around your anus ...Author: Rachel Nall, MSN, CRNA
http://www.hcpro.com/content.cfm?content_id=305393
Jun 11, 2014 · Guidance for coding OB delivery lacerations sometimes differs between the CPT® Manual and the American Congress of Obstetricians and Gynecologists. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, explains the difference in guidance and documentation necessary to report tears to the proper degree.
https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129?s=4
Oct 11, 2019 · Previous Next 4 of 6 3rd-degree vaginal tear. Third-degree tears extend into the muscle that surrounds the anus (anal sphincter). These tears sometimes require repair with anesthesia in an operating room — rather than the delivery room — and might take longer than a few weeks to heal.
https://www.aapc.com/discuss/threads/laceration-repairs-from-delivery.144150/
Feb 14, 2017 · When a delivery results in laceration repairs of the 3rd or 4th degree, should those be billed using laceration repair cpt codes or using the 22 modifier on the delivery code to explain the extenuating circumstances? Also, what are your sources/links to support this answer as well?
https://medical-dictionary.thefreedictionary.com/laceration
An injury of the perineum caused by childbirth. The lacerations may be classified as first-, second-, third-, or fourth-degree, depending on the extent of injury. A first-degree laceration may not require repair, but a fourth-degree laceration, which involves the vaginal mucosa, perineal muscles, and the sphincter ani, requires extensive repair.
https://www.mdedge.com/obgyn/article/61390/practice-management/postdelivery-laceration-repair-blood-evacuation
If the laceration repair was done at the time of delivery, add modifier -51 (multiple procedure) to the repair code; if the patient was brought back to the operating room for the procedure, use modifier -78 (return to operating room for a related procedure during the postoperative period).
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